Expression of interest: interested in being part of a UTI study?

[brett.mitchell@avondale.edu.au]

Dear Colleagues,

I am looking for hospitals that may be interested in participating in a randomised controlled study. This is a funded study (HCF Foundation Grant and cash from Avondale College).

The study is going to explore the difference between saline and chlorhexidine in meatal cleaning prior to urinary catheter insertion. It will determine the effectiveness (outcome being infection) and cost effectiveness of the intervention. A stepped wedge RCT study design is being used. Attached is a systematic review and meta-analysis that underpins this study.

If this sounds of interest to you, please let me know. I will then follow up with you directly early in the New Year. At this stage, this is just an expression of interest, not a formal commitment from yourself or the research team to participate. We are looking for three hospitals to participate.

What benefit is there to me/my hospital by participating?

* Being involved in a study that will impact national and international catheter insertion practice
* We may be able to provide some financial support to participating hospitals (e.g. funding to temporarily increase infection control team staffing), to participation

What hospitals are eligible to participate?

* For public hospitals, a principal referral or acute hospital group A (AIHW) with > 400 beds and an ICU
* For private hospitals, >400 beds and an ICU.
* We may be able to consider hospitals who have lower bed numbers, depending on other factors

What does the study involve?

* A hospital wide study (excluding theatre and A&E). There will be some exclusions, neonates, allergies etc.
* During the control period, staff use saline for cleaning prior to urinary catheter insertion. During the intervention, chlorhexidine will to be used
* There will be different start dates for the intervention period. Hospitals will be randomised, such that hospitals will swap to interventions periods at different times
* The cost associated with chlorhexidine will be funded, if your hospital does not usually use this
* Patients who receive a catheter will be follow up for a period of time

What would make participation easier?

* If your hospital has a ‘catheter pack’ or similar process where all urinary catheterisation equipment is together, incorporating the solution into this would make implementing the intervention considerably easier

Research Team

Chief Investigator – A/Prof Brett Mitchell, Avondale College of Higher Education

Prof Anne Gardner, Australian Catholic University

Oyebola Fasugba, Conjoint Lecturer, Avondale College of Higher Education

Dr Jane Koerner, Australian Catholic University

Prof Peter Collignon, Australian National University & ACT Pathology

Prof Allen Cheng, Alfred Health & University of Melbourne

Prof Nicholas Graves, Queensland University of Technology

Questions
Please do not hesitate to contact me should you have any questions brett.mitchell@avondale.edu.au

Acknowledgements
Thank you to the ACIPC research committee for considering and approving the request to post this onto Infexion Connexion

Kind regards

Brett Mitchell
Associate Professor of Nursing, Discipline of Nursing
Director of the Lifestyle Research Centre
Avondale College of Higher Education

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